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NURS 242 Exam 2 Galen College Of Nursing -Question and answers already passed NURS 242 Exam 2 *Health Insurance Portability and Accountability Act (HIPAA) of 1996* - correct answer Right to confidentiality. Releasing information as minimal and necessary. Not letting information be overheard...

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  • 22 octobre 2024
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NURS 242 Exam 2
*Health Insurance Portability and Accountability Act (HIPAA) of 1996* - correct
answer ✔Right to confidentiality. Releasing information as minimal and
necessary. Not letting information be overheard or obtained when it should not
be. Simplification plan is directed at restructuring the coding and health
information to simplify the digital exchange of information among health care
providers and to improve the efficiency of health care delivery. The privacy
rule applies to ensuring strong privacy protections for the patient without
threatening access to care.


Federal statutory law. Right to know. Who has the right to know the
information? Staff covering for me has the right to know, the pharmacist only
has to know needed information for medications, performance improvement
nurse has the right to know to look at the big picture (looks at processes),
medication compliance officer, pretty much anyone with direct contact with the
patient and needed to know indirect contact. Nursing managers can only go in
for needed information and needed information for the situation.


*2 Parts:*
*Simplification plan: coding and digital moving of information. Cover page,
send safely. Basically how to send it over safely*
*Privacy Rule: Can't talk about it, can't share information. Assuring privacy
protecting without sharing access to health care. Pertains to patient medical
records and identifiable health information. Providers must obtain written
notice to acknowledge privacy. Other agencies must have something signed
when requesting information.*


*Informed Consent* - correct answer ✔-The person(s) giving consent must
fully comprehend:
Procedure to be performed
All risks involved

,Expected/Desired Outcomes
Outcomes/Side effects of treatment
Alternative treatments available


-Consent may be given by:
competent adult
legal guardian/individual's DPOA
emancipated/married minor
parent of minor child
court order
Mature minor (varies by state)


*Nurse Practice Act* - correct answer ✔-statute in each state and territory
that regulates the practice of nursing
-NURSE PRACTICE ACT REQUIRES THE NURSE TO HAVE SPECIALIZED
KNOWLEDGE IN SEVERAL SCIENCES. THE LEGAL DUTIES OF THE
NURSE, THE NURSING PROCESS, HEALTH EDUCATION (HOW WOULD
YOU TEACH YOUR PATIENT), COUNSELING OF THE INJURED AND ILL.
NURSING MANAGERS/CHARGE NURSES CANNOT WRITE/CREATE
STANDARD OF CARE. THEY MUST FOLLOW IT.


*Patient Self-Determination Act of 1991* - correct answer ✔Requires health-
care organizations that received federal funding to provide education for staff
and patients on issues concerning treatment and end-of-life issues.


Education included the use of advance directives, durable power of attorney,
health care proxy. The reality is that many people do not express their wishes
about end-of-life treatment before a crisis situation exists and then they may
be unable to do so.

,Federal statutory law. Treatment and end of life issues. 5 wishes: Advanced
directives forms. People fill in what they want and have people sign it.
Manager stand point: make sure staff is educating and offering on advanced
directives.


*Professional Negligence (aka Malpractice)* - correct answer ✔-Definition:
the failure of someone who is medically trained to act reasonable and prudent
-Failure of one health care provider to act as one health care provider would
do.


-i.e. walk into pt room with signs of respiratory distress, and cut a hole in their
neck to give oxygen with a straw.


-Reasonable persons test. A reasonable person would put oxygen on them.


A doctor orders a medical procedure that the staff nurse has reason to believe
will harm the patient. Which statement accurately states the legal
consequences of carrying out, or refusing to carry out, the procedure?
A) The staff nurse cannot be held legally liable for any harm to the patient if
the procedure is carried out with due care
B) The nurse may lose his or her license by refusing to carry out the
procedure
C) The nurse can be held legally liable for any harm if the procedure is carried
out without question
D) The nurse can be held accountable for practicing medicine without a
license - correct answer ✔Answer: C;


All nurses have personal liability, which means that every person is liable for
his or her own conduct. None of the remaining options describes that liability
or its outcomes accurately

, A lawsuit pertaining to professional negligence must include duty, breach of
duty, injury, and a causal relationship between breach of duty and injury. What
else must be included? Which element is necessary to prove professional
negligence? Select all that apply.
A) Breach of duty
B) Presence of Injury
C) Ability to foresee harm
D) Causal relationship - correct answer ✔Answer: ABCD


A lawsuit pertaining to professional negligence must include duty, breach of
duty, injury, a causal relationship between breach of duty and injury, and the
ability to foresee harm. Intent to cause injury is not a requirement


A state Nurse Practice Act is an example of which source of law?
A) Statutes
B) Constitution
C) Administrative
D) Judicial - correct answer ✔Answer: A


Statutes are the only laws made by official enactment by the legislative body


A verdict of suspension or loss of licensure represents what type of law?
A) Criminal
B) Civil
C) Administrative
D) Judicial - correct answer ✔Answer: C

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